Latest Posts

Backpacks and back pain in your child…some helpful tips

August 24th, 2010

We are seeing more and more back pain in kids these days. Research has shown that carrying heavy backpacks is responsible for a significant amount of neck, shoulder and back pain in children. With school starting again, we want to remind everyone of some handy tips for your child’s back health.

  • A good ergonomic backpack should be approximately no larger than the child’s back. A backpack that looks too large for the child’s back is likely too large and will cause unnecessary strain on the back itself.
  • The maximum weight of a backpack should depend on the size (weight) of the child. As a rule of thumb, your child or teen should not carry a backpack that when loaded exceeds 15% of their body weight.
  • A standard backpack with two straps is better that a single strap bag, but should be worn with BOTH straps over the shoulders. The straps should be heavily padded and there should preferably be a waist belt.
  • A better option is to use a backpack that has wheels, so it doesn’t have to be carried at all.

I hope these tips are helpful and if you would like to have your child’s backpack assessed, we always offer FREE backpack fitting and assessments in our Boise office. Call today at (208) 321-8484.

Posture and Health? What is the Correlation?

August 5th, 2010

Human posture has been an area of health concern throughout history. dating back to the time of Hippocrates, care of the human frame has been a focus. Many research papers have investigated the effects of abnormal posture on people. Despite these facts, there remains debate on the relationship between postural alignment, pain and general health.

Dont Let Postural Degneration Diminish Your Quality of Life

The cause-effect relationship between postural deformity-abnormality and health disorders has been the subject of numerous investigations and review articles and it has advocates on both sides of the debate.  However, recent high quality research studies have found interesting and significant differences between condition groups vs. control groups and significant correlations between abnormal posture alignment and a number of health disorders including:

  • Abnormal middle and low back alignment and back and neck pain in children and adolescents;
  • Hyper-kyphosis (round back) and health perceptions and function in adolescents;
  • Hyper-kyphosis (round back) and rigid forward head posture and functional impairments in seniors;
  • Hyper-kyphosis (round back) and early mortality (death) in seniors;
  • Abnormal cervical spine postures in women with chronic pelvic pain;
  • Abnormal forward head posture and neck pain, headaches, disability, range of motion, respiratory muscle function, and carpal tunnel syndrome.

Doctors certified by Chiropractic Biophysics Seminars, Inc, have extensively studied the effects of poor posture on spinal degeneration, spinal pain and overall health. Through rigorous post-graduate level continuing educational seminars, the “Certified” CBP doctor has learned state-of-the-art techniques that have been shown to be effective at improving/correcting abnormal posture and abnormal spine alignment. Call our Boise office at 321-8484 today to find out if CBP care might be right for you. If you are outside of the Boise area, you can find a CBP Doctor near you by searching HERE.

Dr. Joe Betz Teaches at Scoliosis Seminar

July 19th, 2010

Non-surgical management of Scoliosis is undoubtedly one of the most difficult conditions which we see at our clinic. Because this condition is so very difficult to manage, when treatment is successful, it is very rewarding. Dr. Betz has always been fascinated by the complexity of the scoliotic spine. He was invited to be one of three instructors for a Scoliotic Deformities Seminar where doctors come from as far away as Australia to improve their understanding of scoliosis in general, and develop their skills for effectively managing this disorder, in particular.

Management of scoliosis in both adolescents and adults has been something that we have emphasized when designing our clinic over the years. we have 8 different advanced traction systems that can be used to apply spinal traction for the patient with scoliosis.

CBP of Idaho Rehabilitation Room

WHY CBP CARE FOR SCOLIOSIS?

CBP spine care focuses on correcting structural scoliosis and other structural abnormalities of the spine through a combination of spinal adjustments, corrective scoliosis exercises and corrective scoliosis traction. We start by taking precise Xrays. Most doctors, including orthopedists and the X-ray technicians they have take their films, do not take into consideration the 3-dimensional nature of the scoliosis when positioning the patient for the X-ray. This results in inaccurate films that do not report valid measurements of the size of the scoliosis. Using knowledge from mechanical engineering principles about how a 3-D spine projects onto a 2-D X-ray film, we take the most produce the most precise images possible. Being “rushed” in and out of an overly busy imaging clinic at a hospital or orthopedic center is not in the best interest of the patient. Great caution must be taken to accurately visualize and measure the scoliosis…it is after all, the primary basis of all clinical decisions.

After initial films are taken, at CBP of Idaho we use state-of-the-art X-ray digitization software called PostureRay to most accurately measure abnormal alignment of the spine.

Next, using analysis unique to CBP doctors, “stress” films are taken to try to determine the most effective means of improving the scoliosis using CBP traction, exercises and spinal adjusting.

In Figure A in the patient standing in a comfortable, neutral posture. Figure B shows movemment 1 followed by movement 2, and Figure C shows movement 2 followed by movement 1. The order of the movements made the most improvement in Figure C, so this order is following when applying CBP exercises, sdjustments and traction.

You can call our office today at (208) 321-8484 and schedule a consultation to see if CBP care is right for you. If you do not live in the Boise, Idaho area, you may be able to find a Certified CBP doctor near you by searching HERE.

What Causes Low Back Pain?

June 26th, 2010

While this appears to be a relatively simple question, the answer has eluded researchers for many years.  Before attempting to clarify the answer to this question, it is important to define pain by its different types. Low back pain can be defined by its duration (Acute, Subacute or Chronic) and also by the source of the pain (disc pain, facet joint pain, etc).

Classifying Pain by Duration:

One way to classify low back pain is by the duration of the pain. While researchers disagree on the parameters for this classification system, experts generally agree on the three types:

Acute: If it is the first onset of pain AND is present less than 3 months.

Chronic: If it is present greater than 6 months.

Subacute: If it in between 3 and 6 months, AND the first occurrence.

Chronic pain is always the most frustrating type of the three. It sometimes seems that nothing will make the pain go away (and stay away). However, this is often be due to a poor understanding by the treating doctor of the source of the pain, not identifying the conditions that will aggravate that source and not treating the cause of the problem in a logical manner.

Classifying Pain by the Source of the Pain:

There are some obvious examples of direct causes of low back pain which refer to specific injured tissues as the source of pain, such as a strained muscles or sprained joints/ligaments due to sudden injury. While these injured tissues can cause Acute pain, the fact is, as most doctors know and as most patients find out, low back pain usually has an insidious onset. This means that you didn’t do anything unusual when the pain began Perhaps it gradually came on and then worsened. Oftentimes it comes and goes (recurrent low back pain), but it usually comes for no reason whatsoever. Explaining the cause of this type of pain is very difficult.

For the patient with chronic recurrent (or constant) low back pain there is often a period of time spent trying to identifying the “cause” of the pain. In this patients eyes, the “cause” MUST be something they are doing prior to the onset of the pain. Yet despite tremendous effort to decipher the “cause” of this episode of pain, the person gives up. They have finally come to the realization that their low back pain comes and goes as it pleases.

There are actually factors at work that can explain the cause and source of this type of low back pain. Generally a combination of complex neurological and mechanical factors combine together to produce a vicious cycle of recurring pain. The pain is usually coming from one or two primary anatomical sources, either the disc or the facet joints. Disc pain is certainly more common in the low back. There are many different spinal alignment problems that cause the discs to bear more weight than normal. These alignment problems are conditions that we work to identify at Chiropractic Biophysics of Idaho.

Whether your back hurts from engaging in the activities of a weekend warrior out in your garden, or it just hurts all the time despite what you do (or don’t do), a thorough Chiropractic exam and properly taken X-rays of the low back can often identify some of the mechanical and neurological causes of your low back pain.

You can contact our office today and schedule an appointment. This is the first step in the process of finally getting rid of that pain in the back.

Advanced Stretches for the Low Back

June 8th, 2010

I was asked to provide some more examples of low back stretches. So, here they are. In the attachment to this post I gathered some more advanced stretches I recommend to my patients to do at home. While most people can perform these “advanced” stretches, sometimes these they can make a persons pain worse, particularly when done improperly. Again, we recommend having your spine checked for common problems before beginning any exercise or stretching program. Proper one-on-one instruction can also prove to be more beneficial as well.

Advanced Home Stretches Low Back

You can call our office for an appointment at (208) 321-8484.

Basic Stretches for the Low Back

May 27th, 2010

Some people who suffer from low back pain can benefit from a customized set of stretches for the low back, hips and legs. In the attachment to this post I gathered some of the basic stretches I recommend to my patients to do at home. While most people can perform these “basic” stretches, sometimes these they can make a persons pain worse, particularly when done improperly. In fact, we recommend having your spine checked for common problems before beginning any exercise or stretching program. Proper one-on-one instruction can also prove to be more beneficial as well.

Basic Home Stretches Low Back

You can call our office for an appointment at (208) 321-8484.

What is hyperkyphosis and how can Chiropractic Biophysics® improve it?

May 19th, 2010

Hyperkyphosis (HK) is an increase in the normal rounding of the middle back, between the shoulder blades.  Most people associate this with “hunch-back posture”. This can occur as a child and is often called Scheuermann’s Disease if there is compression deformity of several of the bones of the back, as seen on X-rays. More often it occurs as a person ages. Contrary to what some doctors say however, this is NOT a “normal part of aging”. In addition to spinal pain and increased risk of vertebral compression fractures, HK has been shown to have a profound effect upon overall health. In one study published in 2004 the authors reported that, “In age- and sex-adjusted analyses, persons with hyperkyphotic posture had a 1.44 greater rate of mortality (95% confidence interval (CI)=1.12–1.86, P=.005).” This means that during the study period (four years) patients with hyperkyphotic posture were 44% more likely to have died than patients with more normal posture! The authors concluded, “Older men and women with hyperkyphotic posture have higher mortality rates.”

Doctors certified by Chiropractic Biophysics Seminars, such as Dr. Betz, have training in unique Mirror-Image® spinal adjustments, Mirror-Image®  traction and Mirror-Image® postural exercise methods that work to reduce this common deformity of the spine.  Sometimes a posture support brace is recommended as well to help “remind” you to perform your activities of daily living in the best position possible.

If you or someone you know, regardless of age, has what appears to be hyperkyphosis or a “forward head posture” (see picture below) you should call our Boise office today to schedule an appointment for a consultation and a computerized posture analysis using PosturePrint software.

Whiplash Injuries

May 11th, 2010

It is very common for symptoms from “whiplash” injuries to take many weeks, months or even years to develop. It is also common for these patients to wait to seek treatment until this pain becomes more obvious.

Approximately 50% of patients initially injured in an automobile crash will never completely recover to pre-injury status. Even after whiplash victims settle their insurance claims, some 45% report they still suffer with symptoms two years later.

A typical soft tissue whiplash injury can be difficult to identify with traditional imaging methods. Soft tissue injuries sometimes don’t show up on normal X-rays, despite the clear fact that the victim is suffering from pain. The insurance company may imply that you are a liar or perhaps experiencing psychogenic causes of the “symptoms”. More advanced imaging methods such as MRI and CT scans can often be useful in some cases.

When no bones are broken and the head doesn’t strike the windshield, typical symptoms are as follows:

  • Up to 98% of victims injured report neck pain, which “typically” starts two hours up to two days after the accident. This is often the result of tightened muscles that react to either muscle tears or excessive movement of joints from ligament damage.
  • Up to 70% of those suffering from whiplash complain of headaches. These headaches, like the neck pain, are often the result of tightened, tensed muscles trying to keep the head stable and, like tension headaches, they are often felt behind the eyes. Headaches can also be the cause of a concussion from the brain literally slamming around inside the skull.

Shoulder pain and upper back pain may also be present and is often the result of referred pain from injured neck joints.

Muscle tears are often described as burning pain, prickling or tingling. More severe disc damage or facet joint injury may cause sharp pain with certain movements, with or without radiation into the arms, hand and fingers, which could be relieved by holding your hand over your head.

The list below is of the most common whiplash symptoms. If you experience any of these symptoms, play it safe and get a chiropractic check up.

Basic Whiplash Symptoms:

  • Neck pain and/or stiffness
  • Blurred vision
  • Difficulty swallowing
  • Irritability
  • Fatigue
  • Dizziness
  • Pain between the shoulder blades
  • Pain in the arms or legs, feet and hands
  • Headache
  • Low back pain and/or stiffness
  • Shoulder pain
  • Nausea
  • Ringing in the ears
  • Vertigo
  • Numbness and tingling in the hands or feet
  • Pain in the jaw or face

Dr. Betz co-authored a set of Whiplash guidelines that were recently accepted for inclusion at the National Guideline Clearinghouse. This guideline document was written by several well-respected authors on the topic of whiplash in the entire world. This document will prove to be a widely used guidelines in the profession of Chiropractic for the management of Whiplash Associated Disorders.

You can contact Dr. Betz by commenting on this post or by calling (208) 321-8484.

Welcome to Our Chiropractic Office (Video)

April 27th, 2010

Educational Requirements of a Doctor of Chiropractic

March 30th, 2010

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After undergraduate course requirements, completion of a chiropractic doctorate program requires 4 academic years of professional education averaging a total of 4,822 hours. This includes an average of 1,975 hours in clinical sciences and 1,405 hours of clinical clerkship. The minimum hours for accreditation by the Council on Chiropractic Education is 4,200 hours.  A comparison is made in the following table published in the Agency for Health Care Policy and Research (AHCPR). Publication No. 98-N002.

Chiropractic Medicine

Subject

Anatomy                                      570                               368

Biochemistry                              150                               120

Microbiology                              120                               120

Public Health                                70                                 289

Physiology                                  305                               142

Pathology                                    205                               162

Total Basic Science                  1,420                            1,200

Total Clinical Science **       3,406                            3,467

Total contact Hours       4,826                            4,667

(Basic + Clinical yrs)

** Total Clinical Science hrs Includes:

Chiropractic Science         1,975                            -0-

Clerkships                              1,405                            3,467

Table 1: A comparison of typical curriculum content and hours from accredited four-year programs in chiropractic and medicine. (* source: Center for Studies in Health Policy, Inc, Washington, DC. And unpublished data from Meredith Gonyea, PhD.

Chiropractic Biophysics Technique Education

While in school, a Chiropractic student generally focus on certain areas of clinical study. These areas are called “Techniques”. Some techniques are taught within the school, however most inherently require the student to take post-graduate courses to become efficient in that particular method. Chiropractic BioPhysics® (CBP®) is one of these Techniques methods that many students and field doctors study.

Chiropractic BioPhysics technique has been developed over the past 30 years and has become the most researched chiropractic technique in the history of the chiropractic profession. There are two levels of Certification Training offered by Chiropractic BioPhysics Seminars for D.C.’s wishing to master this technique.

Basic Certification” involves a D.C. attending 6 seminars to learn the fundamentals of CBP and successfully passing a test to demonstrate mastery of the technique methods. These 6 primary Certification courses total a minimum of 76 hours of training.

Advanced Certification” is achieved through additional training in 6 more specialized seminars. Testing for Advanced Certification includes presenting a patient case study using CBP procedures to peers at a CBP conference (or in written form) and verifying the use of CBP-related spinal rehabilitative equipment in the doctor’s practice. These additional 6 Advanced Certification courses and the case study total a minimum of 88 hours of training. Thus, the D.C. whom achieves Advanced Certification training in CBP Technique has committed a minimum of 164 additional hours of Continuing Education Training!

Instructor Certification” is only held by a small number (less than a dozen) of advanced certified doctors who are trained to teach CBP methods to other Doctors.